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1720125339 NPI number — HASSAN ASSL MSPA

NPI Number: 1720125339
Health Care Provider/Practitioner: HASSAN ASSL MSPA

Information about “1720125339” NPI (HASSAN ASSL MSPA) exists in 1720125339 in HTML format HTML  |  1720125339 in plain Text format TXT  |  1720125339 in PDF (Portable Document Format) PDF  |  1720125339 in an XML format XML  formats.

NPI Number : 1720125339 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720125339",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ASSL",
    "FirstName": "HASSAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSPA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "801 ATHERTON DR APT 10",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANTECA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95337-8596",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-336-2337",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1191 E YOSEMITE AVE STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANTECA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95336-5011",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-239-8689",
    "PracticeLocationAddressFaxNumber": "209-824-3958",
    "EnumerationDate": "01/31/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "18602",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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